Monday, April 12, 2010

A Public Health Approach to Children's Mental Health: A Conceptual Framework.

Miles, Jon. Espiritu, Rachele C. Horen, Neal M. Sebian, Joyce. Waetzig, Elizabeth.
Georgetown University Center for Child and Human Development, National Technical Assistance Center for Children's Mental Health.
Searchlight Consulting.
2010
Sponsoring Organization: United States. Substance Abuse and Mental Health Services Administration.
In the fall of 2007, the Center for Mental Health Services at the Substance Abuse and Mental Health Services Administration, in conjunction with the National Technical Assistance Center for Children's Mental Health at Georgetown University began to develop a monograph that would present a conceptual framework for a public health approach to children's mental health. The proposed monograph would: Draw on well-established public health concepts to present a conceptual framework that was grounded in values, principles, and beliefs; Link environmental supports, services, and interventions across child-serving systems; Identify and promote shared language and definitions that could form a platform for communication between the various child-serving sectors that are integral to success of a public health approach; Provide examples of interventions and policies that have shown promise as components of the new framework; and Suggest how partners, providers, decision-makers, and consumers might use the framework in their communities to strengthen the mental health and resilience of all children. This monograph, written for a broad range of leaders who have a role in bringing about change in their system(s) or organizations and influencing children's mental health and wellbeing, represents the culmination of efforts to develop consensus around the central ideas of the conceptual framework. Because the audience for this monograph is broad, different users will find the content useful in different ways. This document can be used as a whole, or each of the chapters can be used on their own, to educate and provide a foundation for a leader to build upon. Once leaders determine how the information and ideas apply to relevant constituencies, the monograph can be helpful for implementing plans that will benefit children, youth, and families. Each chapter has a distinct purpose and content. The first chapter, in addition to providing an overview and a context, also demonstrates a sense of urgency and a justification for a public health approach. This chapter could be helpful to those who must convince stakeholders or policy makers to engage in this work. The second chapter provides a starting point for groups and coalitions in their work together to build consensus around how to communicate about the effort. Chapters 3 and 4 provide information about the practice of public health and how it has been and could be used to support the mental health of children. In Chapter 5, the conceptual framework of the public health approach to children's mental health and the intervention model are presented. This chapter provides a detailed explanation of the framework as well as a visual representation in both graphic and table form. In chapter 6, leaders will find practical information about how to move this transformation forward. This chapter includes questions that could be used as checklists for groups in any stage of their process as well as examples from the field of how a group has accomplished one or more components of the work. (Author abstract modified)


MORE: http://gucchdtacenter.georgetown.edu/public_health.html

The Nation’s Children 2010

America’s Children: A Snapshot

Child population under age 18, 20081 73,941,848
White children (not Hispanic) under age 18, 20082 56.2%
Non-white children under age 18, 20083 43.8%
Children and youth under age 14, 20084 77.1%
Children and youth ages 14–17, 20085 22.9%

America’s Most Vulnerable Children: A Snapshot

Estimate of referrals of possible child abuse and neglect, 20076 3,200,000
Children substantiated/indicated as abused or neglected, 20077 794,000
Estimated children who died as a result of abuse or neglect, 20078 1,586
Children living in out-of-home care, 20079 492,618
Children adopted from the public foster care system, 200710 51,401
Children waiting to be adopted, 200711 133,818
Children living in poverty, 200812 13,507,000
Estimated children living in low-income families, 200813 28,800,000
National Poverty Rate, 200814 13.2%
National Poverty Rate for children under age 18, 200815 19.0%
National Poverty Rate for children ages 5-17, 200816 17.7%
National Poverty Rate for children under age 5, 200817 22.2%

Child Abuse and Neglect
• In 2007, approximately 3.2 million allegations of child abuse and neglect, representing 5.8 million children, were made to child protective services agencies. Of those, 2,085,443 reports were referred for investigation, as reported by 37 states.18
• During FFY 2007, an estimated 794,000 children in the 50 states, the District of Columbia, and Puerto Rico were determined to be victims of abuse or neglect. Of these children, 59.0% were neglected, 10.8% were physically abused, and 7.6% were sexually abused. The victimization rate was 10.6 per 1,000 children, representing a 12.4% decrease from 2006, which can be explained by definitional changes.19
• Of the children substantiated as abused and neglected, only 62% received follow up services. Of the children reported as abused and neglected but not substantiated, 31.2% received follow up services. One-fifth (20.7%) of children substantiated as abused or neglected were placed in foster care as a result of an investigation.20
• In 2007, 492,818 children lived apart from their families in out-of-home care. Of the children living apart from their families, 34% were age 5 or younger, 45% were ages 6 through 15, and 21.2% were 16 or older.21
• Of the children living in out-of-home care in 2007, 40% were white, 31% were black, 20% were Hispanic, 2% were American Indian/Alaskan Native, and 7% were children of other races and ethnicities.

To view the entire report visit: http://www.cwla.org/advocacy/statefactsheets/2010/nationalfactsheet10.pdf

Evaluation of the Anchor-Site Phase of Family to Family

In 1992, the Annie E. Casey Foundation commenced its Family to Family: Reconstructing Family Foster Care Initiative. When it concluded in 2009, dozens of localities in more than 20 states had participated. In its final phase from 2006 through 2009, the initiative focused on a smaller set of “anchor sites” in nine states. This evaluation provides a historical perspective on the evolution of the initiative and describes the theory of change that helped shape the work done in the final phase.

To read this evaluation visit: http://www.aecf.org/KnowledgeCenter/Publications.aspx?pubguid=%7b0B379E86-3BD9-4FAF-A3B2-96845501B2B7%7d

The Office of Juvenile Justice and Delinquency Prevention (OJJDP) has announced the following funding opportunities

National Mentoring Programs
This solicitation invites eligible applicants to propose the enhancement or expansion of initiatives that will assist in the development and maturity of community programs providing mentoring services to high-risk populations that are underserved due to location, shortage of mentors, special physical or mental challenges of the targeted population, or other analogous situations identified by the community in need of mentoring services.

TO VIEW MORE: http://ojjdp.ncjrs.gov/funding/FundingDetail.asp?fi=171

Family Drug Court Programs
The purpose of the Family Drug Courts Program is to build the capacity of states, state and local courts, units of local government, and federally recognized Indian tribal governments to either implement new drug courts or enhance pre-existing drug courts for substance-abusing adults involved with the family dependency court as a result of child abuse and neglect issues.

TO VIEW MORE: http://ojjdp.ncjrs.gov/funding/FundingDetail.asp?fi=174

Monday, April 5, 2010

Talking With Moms About Engaging Dads: Info Fact Sheet 18

Mothers play a central role in how fathers are involved with their children. They can facilitate or hinder the father’s involvement, based on their inclusion or exclusion of the father in childrearing, parenting time, and other opportunities for father engagement. The nature and extent of gatekeeping plays an important part in the coparenting relationship between parents.

For fathers, the single most powerful predictor of fathers’ engagement with their children is the quality of the men’s relationship with the child’s mother, regardless of whether the couple is married, divorced, separated or never married. In some instances, fathers’ commitment to their children only holds when mothers also believe the father’s role is important
Respite Care for Children with Serious Emotional Disorders and Their Families: A Way to Enrich Family Life

This article provides a review of the benefits of respite care for families who have a child with a serious emotional disorder and examples of the range of respite care strategies that communities have developed to respond to the different needs and preferences of families. From time to time, all families experience stress related to financial difficulties, work, family relationships, or the challenge of balancing work, family, and other responsibilities. Stress may be particularly severe for parents of children with serious emotional and behavioral disorders. Relationships with relatives, friends and neighbors may be strained due to misunderstanding of the child’s behavioral disorder, work opportunities may be limited, and there are extra demands on time for mental health treatment and meetings with service providers.

The Roles of Parenting and Child Welfare Services in Alcohol Use By Adolescents

This study examined the impact of child maltreatment on adolescents' alcohol use, taking into account parental drinking and the involvement of child welfare services in the adolescents' lives. Nationally, in each week 60,000 child abuse or neglect reports are made; annually, there are 3 million child abuse or neglect reports, involving 5.5 million children. Two-thirds of these reports are investigated, with almost 29% of the investigations leading to substantiation of allegations.

Teenagers are the victims in some 26% of substantiated cases. Among maltreated teens, 23.3% have suffered physical abuse, 16.5% have suffered sexual abuse, and 53.6% have been neglected. Adding to the difficulty of their lives, maltreated teens tend to resort to substance use. As many as 33.6% of children who have received foster care have used illicit drugs, as compared to 22% of children never in foster care. One study reported that 50% of maltreated adolescents used alcohol, a rate exceeding 30-day alcohol-use rates for more comprehensive groups of 8th- (16%), 10th- (33%), and 12th-graders (44%) in another study